North Carolina EMT State Practice Exam

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What is the risk associated with using a rigid suction device in pediatric patients?

  1. It is less effective

  2. Can cause vagal response

  3. It can easily be dislodged

  4. It takes too long

The correct answer is: Can cause vagal response

Using a rigid suction device in pediatric patients poses a risk of triggering a vagal response due to the anatomical and physiological differences between children and adults. In young patients, the vagus nerve, which controls heart rate and other autonomic functions, can be easily stimulated during suctioning. This stimulation may lead to a decrease in heart rate (bradycardia) and other complications such as hypotension or respiratory distress. Pediatric airways are smaller and more sensitive, making them more susceptible to irritation or injury from the rigid design of such devices. In contrast to the other options, which address effectiveness, dislodgment, and time taken during the procedure, the concern about a vagal response directly pertains to the heightened risk factors involved when dealing with a child's delicate and reactive physiological state. Recognizing this risk is crucial for EMTs and healthcare providers to manage airway emergencies safely and effectively in pediatric patients.

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